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Individual

ANDREW S. KISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
18102 IRVINE BLVD, TUSTIN, CA 92780-3402
(714) 730-9656
Mailing address
2979 W ELLIOT RD STE 4, CHANDLER, AZ 85224-1641

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10281
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
63087
CA

Other

Enumeration date
08/16/2014
Last updated
06/27/2022
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